Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.92 / $413.92 / $413.92	Facility		$413.92	$413.92	$413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $279.57 / $13,230.00	Professional		$211.80	$279.57	$13,230.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.92 / $413.92 / $413.92	Facility		$413.92	$413.92	$413.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $318.82 / $318.82 / $318.82	Professional		$318.82	$318.82	$318.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.94 / $244.30 / $285.02	Professional		$223.94	$244.30	$285.02
United Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $262.05 / $305.37	Professional		$226.63	$262.05	$305.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $238.35 / $281.70	Professional		$145.91	$238.35	$281.70